Family Add On
Coverage provided through the Student
Health and Dental Plan can be extended to a spouse and/or dependent(s). To add
eligible dependent(s) complete the sections below and submit this form. The
Student will be contacted via email by the Benefit Plan Office of any required
supporting documents and fees. All supporting document(s) and fees must be
received by the applicable deadline in order for the family add on process to
be completed. The Student must also be enrolled in the Student Health and
Dental Plan.
Each year, you are given one opportunity to purchase family coverage for your spouse and/or dependent(s) and all family add-on forms and fees must be received within 30 days from the start of your program.
IMPORTANT! The fees for Family
Add-on are in addition to the student health and dental fee.
Spouse
Eligibility
Spouse is defined as
your spouse by marriage or under any other formal union recognized by law, or
your common-law spouse.
Common-Law Spouse is
a person who has been living with you in a conjugal relationship continuously
for a period
of not less than one year or who is the natural
or adoptive parent of a child of who you are also the parent.
Spouse means the person who is a resident of Canada, and who is married to the student
or a person of either sex who have been continuously cohabitating with the
student for a period of at least one year and who is publicly represented as
the student’s wife or husband.
Dependent Children Eligibility
Children are defined as your natural
children, stepchildren, legally adopted children, and children for whom you/and
or your spouse have been appointed as guardian(s) for all purposed pursuant to
an Order of the Court. NOTE: if the child is your stepchild or your spouse’s
adopted child or a child for whom your spouse has been appointed guardian, both
your spouse and the children must reside with you full-time. In addition, the
child must be:
- Unmarried
- Under 21 years of age and not employed full-time
- Under 25 years of age, if they are attending a college or university full-time, or
- Physically or mentally incapable of self-support and became incapable to that extent while entirely dependent on the student for maintenance and support and while eligible under 1) or 2) above
NOTE: Parents,
Grandparents, Siblings are not eligible dependents.
2021 - 2022 Family
Add-On Fees:
Health (one or more dependent) $140.00
Dental (one dependent) $185.00
Dental (two or more dependents) $260.00
Please read and agree to the Terms & Conditions prior to
submitting your online Family Add-On form.
Have a safe and healthy year!
Thank you
Lansdowne
Campus
101B Fisher Building
3100 Foul Bay Road
Victoria, BC V8P 5J2
Phone: 250-370-3696
Fax: 250-370-3636
Email: ccssplan@camosun.bc.ca
Interurban Campus
Campus Centre 111
4461 Interurban Road
Victoria, BC V9E 2C1
Phone: 250-370-3869
Fax: 250-370-3830
Email: interurbanplan@camosun.bc.ca